The prevalence and burden of psychiatric disorders in primary health care visits in Qatar: Too little time?

Bener, Abdülbari; Abou‐Saleh, Mohammed T.; Dafeeah, Elnour E.; Bhugra, Dinesh

doi:10.4103/2249-4863.152262

Cited by 55 publications

(41 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The point prevalence of PTSD diagnosis ascertained by diagnostic interviews (e.g., Structured Clinical Interview [SCID], Diagnostic Interview Schedule [DIS], Composite International Diagnostic Interview [CIDI], Mini-international Neuropsychological Interview [MINI], Clinician-Administered PTSD Scale [CAPS]) ranged from 2% to 32.5% (17 studies 18, 20, 23-25, 28, 30-32, 35, 37, 39, 41, 43-45, 58 ). The point prevalence of substantial PTSD/clinically important PTSD symptoms based on questionnaire thresholds ranged from 2.9% to 39.1% (15 studies 17, 19, 21, 22, 26, 27, 33, 38, 40, 42, 46, 5329, 34, 36 ).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

The Prevalence of Posttraumatic Stress Disorder in Primary Care: A Systematic Review

Spottswood

Davydow

Huang

2017

Harv Rev Psychiatry

View full text Add to dashboard Cite

Background There is limited information on the prevalence of posttraumatic stress disorder (PTSD) across primary care settings. Objective Determine the prevalence of clinician-diagnosed PTSD and questionnaire-ascertained PTSD symptoms in primary care patients. Methods A systematic review of the literature using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method, searching MEDLINE, CINAHL, Cochrane Database, PsychINFO, EMBASE, Google Scholar, and relevant book chapter bibliographies. Studies that reported on the prevalence, including point and/or lifetime prevalence, of PTSD ascertained using diagnostic interviews, self-report questionnaires, or from administrative data, among patients seen in primary care were deemed eligible for inclusion. We abstracted data on the PTSD assessment tool, the mean questionnaire scores/cutoff scores, the time period of PTSD symptoms, and PTSD prevalence reported. Results Of 10,613 titles screened, 41 studies were eligible for inclusion. The included studies assessed PTSD in a total of 7,256,826 primary care patients. The median point prevalence of PTSD across studies was 12.5%. The point prevalence of the civilian population median was 11.1%, the special risk population median was 12.5%, and the veteran median was 24.5%. The point prevalence of diagnostic interview-ascertained PTSD ranged from 2% to 32.5%, the point prevalence of questionnaire-based substantial PTSD symptoms ranged from 2.9% to 39.1%. Lifetime prevalence of diagnostic interview ascertained-PTSD ranged from 14.5% to 44.3%. The prevalence of PTSD in administrative data-based studies ranged from 3.5% to 48.8%. Conclusions PTSD is common in primary care settings. Additional research on effective and generalizable interventions for PTSD in primary care is needed.

show abstract

Section: Resultsmentioning

confidence: 99%

“…The PTSD Checklist (PCL) (6 studies) 17, 22, 26, 38, 46, 53 and the Composite International Diagnostic Interview (CIDI) (6 studies) 20, 23, 25, 30, 37, 44 were the diagnostic tools most often used. The PCL is a screening measure while CIDI is a structured clinical diagnostic interview.…”

Section: Resultsmentioning

confidence: 99%

The Prevalence of Posttraumatic Stress Disorder in Primary Care: A Systematic Review

Spottswood

Davydow

Huang

2017

Harv Rev Psychiatry

View full text Add to dashboard Cite

show abstract

“…Its prevalence ranges from 6.6% to 21% across countries (Kessler and Bromet, 2013), rising to 18.3% in Qatar (Bener et al, 2015). Nearly 20% of patients with heart disease suffer from depression (Carney and Freedland, 2008;Elderon and Whooley, 2013;Thombs et al, 2006), while depression following myocardial infarction is associated with 2.25-to 2.38-fold risk of all-cause mortality and 2.59-to 2.71-fold risk of cardiac mortality (Meijer et al, 2011;van Melle et al, 2004).…”

Section: Introductionmentioning

confidence: 99%

Translation and validation of the Cardiac Depression Scale to Arabic

Papasavvas

Al-Amin

Ghabrash

et al. 2016

Asian Journal of Psychiatry

View full text Add to dashboard Cite

Background: The Cardiac Depression Scale (CDS) has been designed to measure depressive symptoms in patients with heart disease. There is no Arabic version of the CDS. We translated and validated the CDS in an Arabic sample of patients with heart disease. Methods: Forward and back translation of the CDS was followed by assessment of cultural relevance and content validity. The Arabic version of the CDS (A-CDS) and the Arabic version of the Hospital Anxiety and Depression Scale (A-HADS) were then administered to 260 Arab in-patients with heart disease from 18 Arabic countries. Construct validity was assessed using exploratory factor analysis with polychoric correlations. Internal consistency was assessed using ordinal reliability alpha and item-to-factor polychoric correlations. Concurrent validity was assessed using Pearson's correlation coefficient between the A-CDS and the depression subscale of the A-HADS (A-HADS-D).Results: Cultural relevance and content validity of the A-CDS were satisfactory. Exploratory factor analysis revealed three robust factors, without cross-loadings, that formed a single dimension. Internal consistency was high (ordinal reliability alpha for the total scale and the three factors were .94, .91, .86, and .87, respectively; item-to-factor correlations ranged from .77 to .91). Concurrent validity was high (r = .72). The A-CDS demonstrated a closer to normal distribution of scores than the A-HADS-D. Limitations: Sensitivity and specificity of the A-CDS were not objectively assessed. Conclusions: The A-CDS appears to be a valid and reliable instrument to measure depressive symptoms in a representative sample of Arab in-patients with heart disease.Keywords: Arabic; Cardiac Depression Scale; cultural relevance; depression; heart disease; scale validation Highlights• We translated and validated the Cardiac Depression Scale to Arabic.• Cultural relevance and content validity were satisfactory.• A stable, parsimonious, and meaningful three-factor model was created.• Internal consistency and concurrent validity were high.• The translated scale appears to be a valid and reliable instrument.

show abstract

“…High prevalence of mental disorders in PHC settings was reported by some studies, for example, in Brazil (51.9%–64.3%) (Gonçalves et al, ) and in Kuwait (43%) (Ibanez et al, ). Many studies in different countries had reported much lower rates than these studies for example, in Qatar (20%) (Bener, Abou‐Saleh, Dafeeah, & Bhugra, ) and in Morocco (13.7%) (Oneib, Sabir, Abda, & Ouanass, ).…”

Section: Discussionmentioning

confidence: 93%

Prevalence and predictors of psychological distress among primary healthcare service users in Mansoura district, Egypt

Farrag

El‐Gilany

Abdelsalam

2019

Health Soc Care Community

View full text Add to dashboard Cite

The current study is a health facility‐based cross‐sectional study that aims to measure the prevalence of psychological distress and to determine its associated factors among primary healthcare (PHC) service users in Mansoura district, Egypt. The study included service users aged ≥18 years. A predesigned structured interviewer‐administered questionnaire was used to collect data from participants during the period from January 2018 to November 2018. The questionnaire included four sections; sociodemographic characteristics, recent history of stressful life events, history of relevant health conditions and a validated Arabic version of General Health Questionnaire, that was used to screen for psychological distress. The total calculated sample size was 573. Data was analysed using SPSS V. 16. Results indicated that the prevalence of psychological distress among PHC service users was 72.2% (95% CI: 68.6%–75.9%). Being a female, non‐working, or married increased the risk of high psychological distress [OR (95%CI): 1.6 (1.2–2.4), 1.8(1.2–2.8) and 1.7 (1.1–2.8) respectively], but these factors were insignificant in multiple regression. Exposure to domestic violence (DV) and being current smokers were the only independent significant predictors of psychological distress [adjusted OR (95%CI): 3.8 (1.7–8.1) and 0.7 (0.4–0.9) respectively]. Findings indicate that psychological distress is common among PHC service users. Exposure to DV significantly predicts psychological distress, while smoking is associated with lower stress. Screening of PHC service users for mental health problems should be integrated within the PHC system.

show abstract

The prevalence and burden of psychiatric disorders in primary health care visits in Qatar: Too little time?

Cited by 55 publications

References 32 publications

The Prevalence of Posttraumatic Stress Disorder in Primary Care: A Systematic Review

The Prevalence of Posttraumatic Stress Disorder in Primary Care: A Systematic Review

Translation and validation of the Cardiac Depression Scale to Arabic

Prevalence and predictors of psychological distress among primary healthcare service users in Mansoura district, Egypt

Contact Info

Product

Resources

About